Understanding factors that influence the decision to be vaccinated against influenza and pertussis in pregnancy : A qualitative study
Arreciado Marañón, Antonia (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Fernández-Cano, María Isabel (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Montero Pons, Laura (Institut Català de la Salut. Direcció d'Atenció Primària Metropolitana Nord)
Feijoo Cid, Maria (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Reyes-Lacalle, Azahara (Institut Català de la Salut. Direcció d'Atenció Primària Metropolitana Nord)
Cabedo-Ferreiro, Rosa Maria (Institut Català de la Salut. Direcció d'Atenció Primària Metropolitana Nord)
Manresa, J. M. (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Falguera Puig, Gemma (Institut Català de la Salut. Direcció d'Atenció Primària Metropolitana Nord)

Fecha:	2022
Resumen:	Aims and Objectives: To identify how pregnant women perceive pertussis and influenza and the factors that influence their decision to be vaccinated. Background: Suffering from influenza during pregnancy increases complications in the pregnant woman, foetus and newborn. Pertussis in children under six months of age causes severe complications. Maternal vaccination against influenza and pertussis is effective and safe. However, vaccination rates are insufficient. Design: We conducted a qualitative descriptive study, using semi-structured interviews. This research adheres to the COREQ guidelines and checklist. Methods: We carried out 18 semi-structured face-to-face interviews with pregnant women, using intentional sampling and thematic analysis. Results: We identified an overarching theme, 'factors that influenced participants' decision to be vaccinated or not', which was composed of four subthemes that were in turn made up of 12 categories. The factors that influenced participants' decision to be vaccinated against influenza and pertussis were related to their knowledge of and their perception of risk for these diseases. Participants perceived the risk of pertussis to be greater, and they focused their concern on the newborn. The recommendations and convictions of nurse-midwives were the most important factors encouraging vaccination. Participants trusted their nurse-midwives and most reported that they would have been vaccinated if their midwife had recommended it. Other factors were linked to lack of information, fear and concerns about economic interests. Conclusions: The convictions and actions of the nurse-midwife in recommending vaccination to pregnant women are decisive. Strategies to improve vaccination rates should be directed to helping health professionals understand how their practice affects the final decision of pregnant women. Relevance to clinical practice: Understanding the factors that limit vaccination rates among pregnant women provides valuable information to nurse-midwives that can help to improve vaccination strategies and practices. Increased maternal vaccination rates would reduce morbidity and mortality among pregnant women and newborns.
Nota:	Altres ajuts: acords transformatius de la UAB
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Immunisation ; Influenza vaccination ; Maternal health ; Midwifery ; Pertussis vaccination ; Pregnant vaccine ; Prenatal care ; Qualitative research
Publicado en:	Journal of clinical nursing, Vol. 31 (2022) , p. 1531-1546, ISSN 1365-2702

DOI: 10.1111/jocn.16006
PMID: 34423873

16 p, 1.1 MB

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